institution
Genesis Family Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Kannapolis, North Carolina
NPI 1013132620

Genesis Family Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Concord, NC. Genesis Family Home practices in Kannapolis, NC. The NPI Number for Genesis Family Home is 1013132620 and holds a License No. MHL-013-107 (North Carolina).

The current practice location address for Genesis Family Home is 1224 Milton Ave, Kannapolis, NC and can be reached out via phone at 704-793-9593.

Location: 1224 Milton Ave, Kannapolis, NC, 28025-2998
institution
Provider Profile Details
NPI Number
1013132620
Provider Name
Genesis Family Home
Credential
Provider Entity Type
Organization
Address
1224 Milton Ave, Kannapolis, NC, 28025-2998
Phone Number
704-793-9593
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603560 05 NC
institution
Provider Business Practice Location Address Details
Address
1224 Milton Ave
City
State
Zip
28081-5444
Phone Number
704-793-9593
Fax Number
person
Provider Business Mailing Address Details
Address
1224 Milton Ave
City
State
Zip
28081-5444
Phone Number
704-793-9593
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
MHL-013-107 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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